HALLIE ANNE CAROL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074681

License Status

EXPIRED

Business

Title

First Name

HALLIE

Middle

ANNE

Last Name

CAROL

Business Name

HALLIE ANNE CAROL MD

Original Issue Date

06/23/2019

Effective Date

06/23/2019

Expiration Date

06/22/2022

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022